Leon S. Peters Award Nomination Form

Nominee *

Address *

City *

Phone

Nominee's Affiliation / Position *

Resident of Fresno County (Minimum of 5 years.) *

Yes

Nominee Qualities *

Check all of the boxes below that apply to your Nominee.

Business & Professional Services

Servant Leadership

Moral and Ethical Person

Caring Person

Mentor

Nomination Explanation *

Provide a written explanation of why you feel the nominee exemplifies Leon S. Peters. You can also upload an attachment at the bottom of the form with more details if needed.

Nominated By: *

Nominator's Email *

File Upload

You may, but are not required to, submit supporting letters from individuals, civic or service organizations and/or institutions regarding your nominee. Please DO NOT engage in mass solicitation of support for your nominee. Nominations will be kept and evaluated annually for a period of five years after submission.

Leon S. Peters Award Nomination Form

DO NOT DELETE